Photo-experiencing and Reflective Listening (PEARL) to Promote Healing Engagement for Survivors of Violence

Conditions

• Violence and Victimization

Eligibility Criteria

Sex

ALL

Age

18 Years - N/A

Healthy Volunteers

Not accepted

Interventions

• PEARL (Photo-experiencing and Reflective Listening) — BEHAVIORAL
  PEARL is a two-component behavioral intervention designed to promote healing engagement among survivors of interpersonal violence. Participants receive a photography-focusing prompt and are given two weeks to create photographs that reflect their healing journey and experiences. After the two-week photography period, participants engage in a one-on-one reflective listening interview where they discuss the photographs they created and co-create a healing action plan based on these discussions. The interview provides a structured opportunity for participants to explore and articulate their healing process through photo-elicitation, allowing them to express their experiences visually and verbally. The intervention is delivered by trained research assistants with fidelity monitoring through audio recording and independent evaluation of a random sample of sessions.

Study Details

The goal of this clinical trial is to learn if a photo-elicitation intervention called PEARL (Photo-experiencing and Reflective Listening) can promote healing engagement in survivors of interpersonal violence. It will also learn about the feasibility and acceptability of PEARL. The main questions it aims to answer are: Does PEARL reduce barriers to help-seeking for trauma? Does PEARL improve trauma coping self-efficacy? Does PEARL change post-trauma cognitions and readiness for recovery? Is PEARL feasible and acceptable to survivors of interpersonal violence? Researchers will compare people who receive PEARL immediately to people on a waitlist (who receive PEARL three months later) to see if PEARL improves healing engagement and help-seeking behaviors. Participants will: * Complete baseline surveys about their trauma history, mental health, healing, and help-seeking behaviors * Be randomly assigned to receive PEARL immediately or after a 3-month wait * Receive a photography-focusing prompt and create photos over two weeks (those in the immediate group or after the waiting period) * Participate in a reflective listening interview about their photos * Complete follow-up surveys immediately after the intervention and one month later * Participate in a one-month follow-up interview about their experience

Key Dates

Start date

Dec 1, 2025

Status verified

Dec 2025

Primary completion

Aug 1, 2026

Completion

Aug 1, 2026

Study Design

Enrollment

40 participants (estimated)

Allocation

RANDOMIZED

Intervention model

CROSSOVER

Primary purpose

SUPPORTIVE_CARE

Arms

• Experimental: Immediate Intervention Group
  Participants randomized to this arm receive the PEARL intervention within two weeks of enrollment. They are given a photography-focusing prompt and two weeks to create photographs reflecting their healing journey. After two weeks, they participate in a reflective listening interview about their photographs. Participants complete surveys at baseline, immediately post-intervention, and at one-month follow-up, as well as a qualitative interview at one-month follow-up.
• Active Comparator: Waitlist Control Group
  Participants randomized to this arm receive a resource referral list (standard of care) and wait three months before receiving the PEARL intervention. They complete baseline surveys at enrollment and again at three months (pre-intervention baseline). After the three-month waiting period, they receive the same PEARL intervention as the immediate group: a photography-focusing prompt, two weeks to create photographs, and a reflective listening interview. They complete post-intervention and one-month follow-up assessments following their intervention.

Primary Outcome Measure

Post-trauma Cognitions Inventory (PTCI) [ Time Frame: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline) ]

Central Contacts

• Laura M Sinko, PhD, MSHP, RN
  9732140617
  [email protected]
• Kayleigh Izzo, BS
  6105501648
  [email protected]

Locations (1)

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